Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John L Roussalis, MDPC

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1235252669

Dr. John L Roussalis, MDPC is a Plastic and Reconstructive Surgery in Newark, Delaware. Graduated from Creighton University School of Medicine in 2000, 26 years ago. Practices with Panzer Dermatology Associates, a 24-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Trained at
Creighton University School of Medicine
Licensed in
PA
In the registry since
2007

Practice location Address checks out

537 Stanton Christiana Rd
Newark, DE 19713-2146
Phone: (302) 633-7550
Fax: (302) 633-7556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD426938 (PA)

Record details

NPI number1235252669
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPC
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address537 Stanton Christiana Rd, Newark, DE 19713-2146

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesGENERAL SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Panzer Dermatology Associates — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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